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Credentialing Assistant I
Location:
Espanola, NM
Description:
PURPOSE : Under supervision of the Chief Operations Officer, the Credentialing Assistant I, supports the credentialing process for clinical practitioners as required for practice in ECFH clinics and/or programs. The Credentialing Assistant I coordinate the assigned aspects of credentialing and primary source verification for practitioners and affiliate health delivery organizations adhering to ECFH policy and procedure. Monitor and update all appropriate information maintaining complete data for practitioners CAQH profiles and ECFH documentation. Track internal and affiliate credentialing stages, verifying all effective dates for practitioners by contacting insurance affiliates and external entities for updates; documenting detailed status updates in the practitioner credentialing binder. Obtain written notification of effective dates from affiliates via email, fax or postal delivery. Adhere to all credentialing process and procedures in accordance with established regulatory and policy requirements. Review all internal and externally-distributed rosters verifying accuracy of all details and information. Track expiration/renewal dates for all practitioners required compliance licensing; notify practitioner in a timely manner when action is required. Actively initiate cross-training for baseline proficiency of all Credentialing Department duties. MINIMUM REQUIREMENTS Education: High school diploma or GED. Experience: Six (6) months of customer service and/or office administrative support experience. PREFERRED REQUIREMENTS Associate degree with minimum of six (6) months of customer service and/or office management or administrative support experience. Minimum of two (2) years' experience directly related to the areas of customer service and/or office management or administrative support in a credentialing or health care insurance office setting. Experience working as a credentialing assistant in a medical staff office, health plan or medical group setting. Knowledge of provider credentialing principles and processing, including knowledge of New Mexico State and insurance company regulations, policies, guidelines, and standards, including outpatient facility licensure regulations and requirements. Other Requirements: 1.COVID vaccination is a requirement for all El Centro Family Health employees unless granted an exemption under applicable state or federal law. 2.Tuberculin Skin Test (TST).
Company:
El Centro Family Health
Posted:
December 26 2023 on ApplicantPool
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More About this Listing: Credentialing Assistant I
Credentialing Assistant I is a Clerical Assistant Job at El Centro Family Health located in Espanola NM. Find other listings like Credentialing Assistant I by searching Oodle for Clerical Assistant Jobs.
Credentialing Assistant I is a Clerical Assistant Job at El Centro Family Health located in Espanola NM. Find other listings like Credentialing Assistant I by searching Oodle for Clerical Assistant Jobs.